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本文引用的文献

1
Left Atrial Appendage Epicardial Clip (AtriClip): Essentials and Post-Procedure Management.左心耳心外膜夹（AtriClip）：要点及术后管理
J Atr Fibrillation. 2019 Apr 30;11(6):2087. doi: 10.4022/jafib.2087. eCollection 2019 Apr.
2
2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons.2019年美国心脏协会/美国心脏病学会/心律学会对2014年美国心脏协会/美国心脏病学会/心律学会心房颤动患者管理指南的聚焦更新：美国心脏病学会/美国心脏协会临床实践指南工作组和心律学会与胸外科医师协会合作报告
Circulation. 2019 Jul 9;140(2):e125-e151. doi: 10.1161/CIR.0000000000000665. Epub 2019 Jan 28.
3
Epicardial left atrial appendage AtriClip occlusion reduces the incidence of stroke in patients with atrial fibrillation undergoing cardiac surgery.心外膜左心耳 AtriClip 闭塞术可降低接受心脏手术的房颤患者中风发生率。
Europace. 2018 Jul 1;20(7):e105-e114. doi: 10.1093/europace/eux211.
4
Unexpected Left Atrial Thrombus After Aortic Valve Replacement and Left Atrial Ligation With AtriClip Device: A Case Report.
A A Pract. 2018 Jan 15;10(2):36-38. doi: 10.1213/XAA.0000000000000631.
5
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS.2016年欧洲心脏病学会（ESC）与欧洲心胸外科学会（EACTS）合作制定的心房颤动管理指南。
Eur Heart J. 2016 Oct 7;37(38):2893-2962. doi: 10.1093/eurheartj/ehw210. Epub 2016 Aug 27.
6
The left atrial appendage: anatomy, function, and noninvasive evaluation.左心耳：解剖、功能和无创评估。
JACC Cardiovasc Imaging. 2014 Dec;7(12):1251-65. doi: 10.1016/j.jcmg.2014.08.009.
7
Success of surgical left atrial appendage closure: assessment by transesophageal echocardiography.经食管超声心动图评估外科左心耳封堵术的成功率
J Am Coll Cardiol. 2008 Sep 9;52(11):924-9. doi: 10.1016/j.jacc.2008.03.067.
8
Resection of the left auricular appendix; a prophylaxis for recurrent arterial emboli.左心耳切除术；预防复发性动脉栓塞。
J Am Med Assoc. 1949 Jul 2;140(9):769-72. doi: 10.1001/jama.1949.02900440011003.
9
Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation.封堵附属结构以降低房颤心脏手术患者的中风风险
Ann Thorac Surg. 1996 Feb;61(2):755-9. doi: 10.1016/0003-4975(95)00887-X.

Unexpected Detection of Floating Thrombi in Left Atrium After Left Atrial Appendage Ligation with Atriclip Device: A Case Report.

作者信息

N Buttar Sana, B Hansen Peter, Hassager Christian, Ø Andersen Henrik

机构信息

Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Rigshospital, Denmark.

Department of Thoracic-Anaesthesiology, University Hospital of Copenhagen, Rigshospital, Denmark.

出版信息

J Atr Fibrillation. 2020 Dec 31;13(4):2368. doi: 10.4022/jafib.2368. eCollection 2020 Dec.

DOI:10.4022/jafib.2368
PMID:34950318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8691296/
Abstract

AtriClip device has demonstrated an excellent efficacy, long-term durability and safety of left atrium appendage (LAA) closure. We report, the unexpected postoperative transesophageal echocardiography (TEE) finding of thrombi in left atrium (LA) after deployment of an AtriClip in a 73-year-old man with chronic atrial fibrillation and 3-vessel-coronary artery disease undergoing coronary artery bypass grafting (CABG) surgery and LA appendage ligation. The heart was re-arrested and thrombi were retrieve successfully through a left atriotomy. This case emphasizes the unanticipated role of AtriClip in dislodging the thrombus from LAA, in addition to the importance of sufficient and well-founded imaging (Transesophageal Echocardiogram/ Multidetector Computed Tomography) before and after the deployment of AtriClip device.

摘要